Pediatric Pulmonary Hypertension Advanced Practice Provider

Duke Careers•Durham, NC

9d•Hybrid

About The Position

The Duke Hospital Pediatric Pulmonary Hypertension Advanced Practice Provider (APP) practices as an integral member of the Pediatric Pulmonary Hypertension team, providing evaluation, treatment, and follow up of children, and adolescents, with pulmonary hypertension. The APP provides these services through direct clinical care, consultation, collaboration, and coordination of management of patients in both the in-patient and out-patient settings. These services are rendered under a designated supervising pediatric cardiologist. The APP works collaboratively with the supervising pediatric cardiologist; with Pediatric Cardiac, Pediatric, and Neonatal Intensive Care Unit teams and Pediatric Pulmonology; with inpatient pediatric and pediatric cardiac clinic teams. The APP contributes to excellence in patient care, research, teaching, and provides leadership to the organization. The Duke Hospital Pediatric Pulmonary Hypertension APP will be utilized in the care of patients at Duke University Health System in both the hospital and ambulatory settings. Practice locations include the Pediatric inpatient units, and outpatient clinics as designated by the Division of Pediatric Cardiology and DUHS.

Requirements

NP: Work requires completion of accredited graduate level Pediatric-Acute Care Nurse Practitioner program.
PA: Work requires graduation from a Physician Assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessor agencies.
NP: Current licensure as a Registered Nurse in the state of North Carolina and approval to practice as an NP.
PA: Licensure as a Physician Assistant in the state of North Carolina.
NP: National certification as an PNP-AC
PA: National Commission on Certification of PAs (NCCPA) certification is required
BLS
PALS

Nice To Haves

Experience in pediatrics as an advanced practice provider for at a minimum of 3 years preferred.

Responsibilities

Diagnose and treat children and adults with pulmonary hypertension in conjunction with the supervising physician
Obtain a comprehensive health history and perform and document physical exam findings
Differentiate between normal findings and those that require treatment, consultation, and/or referral
Assess patient and family psychosocial, emotional, and physiologic needs
Perform patient/family teaching with respect to planned treatment.
Consultation and/or referral with other health care professionals
Facilitate communication with referring providers.
Work closely with Patient Resource Managers in care coordination; review medications with parents/patients and provide instructions and answer questions.
Perform, along with the pediatric cardiologist, all history and physical examinations with ultimate oversight by the attending.
Participate in multidisciplinary Pulmonary Hypertension clinic.
Order and schedule laboratory studies and diagnostic procedures; explain necessity, preparation, nature and anticipated effects of scheduled diagnostic and therapeutic procedures to the patient and follow up findings. Check medications during each patient interaction, confirming dosages.
Obtain prior authorization for medications.
Assist the nurse clinician in the e-mail/telephone management of all patient problems.
Assist in fielding phone calls and fax transmissions for pulmonary hypertension patients, including related phone calls during the day from referring physicians, parents and patients.
Assist cardiology team with arrangements regarding the need for a translator.
Facilitate communication for patient care procedures
Work with the inpatient team to provide comprehensive pulmonary hypertension management in a timely manner
Maintain patient database
Initiate and participate in other safety and quality improvement programs within the division and within the greater health system.
Participate in teaching medical students, residents, and nursing staff principles of pulmonary hypertension care.
Attend weekly Intake Conference, Cardiothoracic Surgical Conference and quarterly Morbidity and Mortality Conference, along with catheterization lab specific educational opportunities.
Participate in the billing process by entering billing codes for appropriate services.
Perform other related duties incidental to the work described herein.
Educate patients and families regarding disease states and treatment regimes including the risks and benefits of treatment application, individual patient’s progress and discharge plan of care.
Assess educational needs of the Duke Health system nursing staff and healthcare team and develop appropriate educational programs.
Role model and precept healthcare learners through contractual agreements.
Participates in mentoring Cardiology Fellows
Utilize evidence – based, decision- making in all clinical practice.
Incorporate clinical research findings in the development and implementation of standards of care.
Support IRB approved clinical research/trials through a variety of activities including but not limited to obtaining consent, ordering diagnostic tests recording laboratory and diagnostic results, administering therapeutic interventions, reporting patient outcomes including toxicities or adverse events.
Publishes in peer reviewed journals
Performs clinical research
Develop, implement and evaluate standards of care/practice guidelines/policies and procedures/care maps/ protocols for pediatric cardiovascular patients
Develop programs and projects in areas of expertise to facilitate the attainment of the goals and objectives of the pediatric cardiovascular program, the Children’s health center, the department of Advanced Clinical Practice and the Duke Health System.
Role model Advanced Clinical Practice through conduct, communication, dress, leadership, ethical decision making, critical thinking and problem solving.
Participate in minimally one professional organization.
Enhance the body of knowledge of nursing or pediatric cardiovascular care through written publication, oral presentations, posters or continuing education
Maintain all professional requirements for licensure and certification.
Presents at local, national, and international meetings and scientific sessions